Lupron Depot Coupon - Lupron Depot 1 pre-filled syringe of 3.75mg kit
Specialty Drug
LEUPROLIDE is a man-made protein that acts like a natural hormone in the body. It decreases testosterone in men and decreases estrogen in women. In men, this medicine is used to treat advanced prostate cancer. In women, some forms of this medicine may be used to treat endometriosis, uterine fibroids, or other female hormone-related problems. Compare gonadotropin releasing hormone agonists.
Lupron Depot Coupon - Lupron Depot 1 pre-filled syringe of 3.75mg kit

Lupron Depot Medicare Coverage


Does Medicare cover Lupron Depot?

98% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Lupron Depot co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Donut Hole
Post-Donut Hole
Co-Pay Range
$1026 – $1287
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$45 – $1287
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$462 – $1287
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$15 – $1287
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Lupron Depot

Here are some ways that may lower the cost of your Lupron Depot prescription.

Manufacturer Coupon
Pay as little as $10 per dose.
Patient Assistance Program
Receive your prescription at no cost to you if you are eligible.

Find Your Lupron Depot Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 1 kit (1 pre-filled syringe) of Lupron Depot 3.75mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $290
AARP MedicareComplete Plan 1 (HMO) $304
AARP MedicareComplete SecureHorizons (HMO) $282
AARP MedicareRx Preferred (PDP) $338
AARP MedicareRx Saver Plus (PDP) $263
Aetna Medicare Rx Saver (PDP) $267
Cigna-HealthSpring Preferred (HMO) $323
Cigna-HealthSpring Rx Secure (PDP) $263
Cigna-HealthSpring Rx Secure-Extra (PDP) $284
EnvisionRxPlus Silver (PDP) $267
Express Scripts Medicare - Value (PDP) $265
First Health Part D Value Plus (PDP) $352
Humana Enhanced (PDP)Lower price available $1287
Humana Preferred Rx Plan (PDP)Lower price available $1287
Humana Walmart Rx Plan (PDP)Lower price available $1287
Kaiser Permanente Senior Advantage (HMO) $45
MedicareBlue Rx Standard (PDP) $267
SilverScript Choice (PDP) $350
Symphonix Value Rx (PDP) $262
WellCare Classic (PDP) $267
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Lupron Depot Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Lupron Depot that may include:

Prior Authorization

Most Medicare plans will require you to obtain their authorization before they will provide coverage for this prescription. You’ll need to contact your plan and they may require you to have your doctor fill out paperwork indicating why you need this prescription. If you do not receive authorization or don’t want to go through this process, you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is Lupron Depot typically on?

Tier 5

Medicare plans typically list Lupron Depot in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). If you encounter any issues, please let us know.
GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.